Question 1
Insomnia is the most common sleeping disorder, affecting 10 - 15% of patients worldwide. What is the most common reported symptom?
(A) early morning headache
(B) Trouble initiating sleep
(C) Trouble staying asleep
(D) Early morning Awakening
(E) Restless leg syndrome
C: Trouble maintaining sleep is the most common symptom recognised (61%), followed by early morning awakenings and subsequently difficulty initiating sleep. More than 50% of patients with insomnia disorder will be affected by two out of the three mentioned symptoms. The most common medical association are mood disorders, followed by anxiety disorders. N Engl J Med 2015; 373:1437-1444
Question 2
Which of the following drugs have NOT been used in the treatment of insomnia disorder
(A) Diazepam
(B) Amitryptilline
(C) Fluoxetine
(D) Melatonin
(E) Phenobarbitol
E: Hypnotic agents may be used acutely or chronically in severe refractory insomnia. N Engl J Med 2015; 373:1437-1444
Insomnia is the most common sleeping disorder, affecting 10 - 15% of patients worldwide. What is the most common reported symptom?
(A) early morning headache
(B) Trouble initiating sleep
(C) Trouble staying asleep
(D) Early morning Awakening
(E) Restless leg syndrome
C: Trouble maintaining sleep is the most common symptom recognised (61%), followed by early morning awakenings and subsequently difficulty initiating sleep. More than 50% of patients with insomnia disorder will be affected by two out of the three mentioned symptoms. The most common medical association are mood disorders, followed by anxiety disorders. N Engl J Med 2015; 373:1437-1444
Question 2
Which of the following drugs have NOT been used in the treatment of insomnia disorder
(A) Diazepam
(B) Amitryptilline
(C) Fluoxetine
(D) Melatonin
(E) Phenobarbitol
E: Hypnotic agents may be used acutely or chronically in severe refractory insomnia. N Engl J Med 2015; 373:1437-1444